JP2014528283A5 - Catheter apparatus and system including catheter apparatus - Google Patents

Catheter apparatus and system including catheter apparatus Download PDF

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Publication number
JP2014528283A5
JP2014528283A5 JP2014533427A JP2014533427A JP2014528283A5 JP 2014528283 A5 JP2014528283 A5 JP 2014528283A5 JP 2014533427 A JP2014533427 A JP 2014533427A JP 2014533427 A JP2014533427 A JP 2014533427A JP 2014528283 A5 JP2014528283 A5 JP 2014528283A5
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tube
catheter device
lumen
window
heat exchange
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JP2014533427A
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JP2014528283A (en
JP6411890B2 (en
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Priority claimed from PCT/US2012/058058 external-priority patent/WO2013049672A1/en
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Claims (18)

カテーテル装置であって、
ａ）基端部、先端部、流入管腔および流出管腔を有する長尺状本体と、
ｂ）前記流入管腔に接続された第１端部と、前記流出管腔に接続された第２端部とを有するチューブであって、その一部が第１端部と第２端部との間において、前記チューブが一連の外側に突出するチュービングループを形成するように、前記長尺状本体の先端側部分に配置されるチューブと、を備え、
前記チュービングループを有する前記長尺状本体の先端側部分は、加熱または冷却した熱交換流体が前記チューブ内を循環する間に患者の血液が前記チュービングループ内を流れ、それによって、熱交換流体と患者の流れる血液との間で熱交換が生じるように、患者の脈管構造内に挿入可能である、カテーテル装置。 A catheter device,
a) a proximal end, a distal end, the elongate present having an inflow lumen and an outflow lumen,
b) a first end portion connected to the front Symbol inflow lumen, said a tube having a second end connected to the outflow lumen, a portion of a second end the first end Between the tube and the tube disposed on the distal end side portion of the elongated body so as to form a series of outwardly protruding tube groups ,
The distal portion of the elongate body having the tube group has a patient blood flowing through the tube group while the heated or cooled heat exchange fluid circulates in the tube, thereby producing a heat exchange fluid and as the heat exchange occurs between the blood flow of the patient, Ru insertable der into the vasculature of a patient, the catheter device. ガイドワイヤ上における前記長尺状本体の前進を容易にするための通路として使用可能な貫通管腔をさらに備える、請求項１に記載のカテーテル装置。 Further Ru with a through lumen which can be used as a passing path for facilitating the advancement of the elongated body on the gas guide wire, catheter device of claim 1. 前記カテーテル装置による患者の身体への治療物質または装置を送達するための通路として使用可能な貫通管腔をさらに備える、請求項１に記載のカテーテル装置。 Before Symbol further Ru with a through lumen which can be used as a passing path of the therapeutic agent or send the device reach because of the body of the patient by a catheter device, the catheter device of claim 1. 前記チュービングループは略Ｕ字形に形成されている、請求項１に記載のカテーテル装置。 The catheter apparatus according to claim 1, wherein the tube group is formed in a substantially U shape . 前記チューブは、０．０２５４ｍｍ（約０．００１インチ）の壁厚を有する、請求項１〜４のいずれか一項に記載のカテーテル装置。  The catheter device according to any one of the preceding claims, wherein the tube has a wall thickness of about 0.001 inch. 前記チューブは、６８９ＫＰａ（約１００ｐｓｉ）までの圧力に耐える、請求項１〜５のいずれか一項に記載のカテーテル装置。  The catheter device according to any one of the preceding claims, wherein the tube withstands pressures up to about 100 psi. 前記チューブは、該チューブ内の流体圧に応じて制限された拡張のみを行う硬質の材料および半硬質の材料のいずれか一方から形成される、請求項１〜６のいずれか一項に記載のカテーテル装置。  The tube according to any one of claims 1 to 6, wherein the tube is formed of one of a hard material and a semi-hard material that perform only limited expansion according to fluid pressure in the tube. Catheter device. 前記チューブは、ポリエチレンテレフタレートおよびポリエーテルブロックアミドのいずれか一方から形成される、請求項７に記載のカテーテル装置。  The catheter device according to claim 7, wherein the tube is formed of any one of polyethylene terephthalate and polyether block amide. 前記流入管腔への窓は第１位置に形成されており、前記チューブの第１端部はその流入管腔への窓を介して延び、かつ、前記流入管腔の壁に固定されている、請求項１〜８のいずれか一項に記載のカテーテル装置。 Window to the inflow lumen is made form the first position, the first end of the tube extends through the window to the inflow lumen and is fixed to the wall of the inflow lumen The catheter device according to any one of claims 1 to 8 . 前記流出管腔への窓は第２位置に形成されており、前記チューブの第２端部はその流出管腔への窓を介して延び、かつ、前記流出管腔の壁に固定されている、請求項９に記載のカテーテル装置。 Window into the outflow lumen are made form the second position, the second end of the tube extends through the window into the outflow lumen and is fixed to the wall of the outflow lumen The catheter device according to claim 9 . 前記流出管腔への窓は、流体が前記チュービングループを通って先端方向に進むように、前記流入管腔への窓よりも先端側に位置する、請求項１０に記載のカテーテル装置。 The catheter device according to claim 10 , wherein the window to the outflow lumen is located distal to the window to the inflow lumen so that fluid proceeds in the distal direction through the tube group. 前記流出管腔への窓は、流体が前記チュービングループを通って基端方向に進むように、前記流入管腔への窓よりも基端側に位置する、請求項１０に記載のカテーテル装置。 11. The catheter device of claim 10 , wherein the window to the outflow lumen is located proximal to the window to the inflow lumen so that fluid proceeds proximally through the tube group. 前記チューブは、前記長尺状本体に形成された複数の横断方向の孔または通路に挿通される、請求項１〜１２のいずれか一項に記載のカテーテル装置。  The catheter device according to any one of claims 1 to 12, wherein the tube is inserted into a plurality of transverse holes or passages formed in the elongated body. 前記横断方向の孔または通路は形状が卵形または楕円形である、請求項１３に記載のカテーテル装置。 It said transverse holes or passages are shaped oval or elliptical, catheter device of claim 1 3. 前記横断方向の孔または通路は、前記流出管腔の隣接部分を閉塞させるが、前記流入管腔の隣接部分を原形のままとする方法で、前記長尺状本体を通って延びる、請求項１３に記載のカテーテル装置。 14. The transverse hole or passage extends through the elongate body in a manner that occludes an adjacent portion of the outflow lumen but leaves the adjacent portion of the inflow lumen intact. The catheter device according to 1. 前記カテーテル装置を介して加熱または冷却された熱交換流体を循環させるための装置と組み合わされた、請求項１〜１５のいずれか一項に記載のカテーテル装置を含むシステム。 16. A system comprising a catheter device according to any one of claims 1 to 15 , in combination with a device for circulating a heat exchange fluid heated or cooled through the catheter device. 前記加熱または冷却された熱交換流体を循環させるための装置は、前記カテーテル装置を介して循環される熱交換流体の温度および流量の少なくとも一方を制御する制御装置を備える、請求項１６に記載のシステム。 The apparatus for circulating a heated or cooled heat exchange fluid, Bei El a control device for controlling at least one of temperature and flow rate of the heat exchange fluid that is circulated through the catheter device, according to claim 16 System. 前記制御装置は、ａ）入力目標体温と、ｂ）感知した体温を示す温度センサーからの信号と、を受信し、かつ、前記感知した体温を前記目標体温と同じか、または前記目標体温の許容範囲内にするようにさせるか、またはしようとする方法で、前記熱交換流体の温度および流量の少なくとも一方を変化させるようにプログラムされている、請求項１７に記載のシステム。 Wherein the control device, a) an input target temperature, b) receives a signal from a temperature sensor indicating a sensed temperature, a, and acceptable same or the target temperature the temperature was the sense and the target temperature 18. The system of claim 17, wherein the system is programmed to vary at least one of temperature and flow rate of the heat exchange fluid in a manner that is or is intended to be within range.
JP2014533427A 2011-09-30 2012-09-28 Catheter apparatus and system including catheter apparatus Active JP6411890B2 (en)

Applications Claiming Priority (3)

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US201161542004P 2011-09-30 2011-09-30
US61/542,004 2011-09-30
PCT/US2012/058058 WO2013049672A1 (en) 2011-09-30 2012-09-28 Heat exchange catheters and their methods of manufacture and use

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JP2017121245A Division JP6499719B2 (en) 2011-09-30 2017-06-21 Catheter apparatus and system including catheter apparatus

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JP2014528283A JP2014528283A (en) 2014-10-27
JP2014528283A5 true JP2014528283A5 (en) 2015-11-12
JP6411890B2 JP6411890B2 (en) 2018-10-24

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JP2017121245A Active JP6499719B2 (en) 2011-09-30 2017-06-21 Catheter apparatus and system including catheter apparatus
JP2019049184A Active JP6979045B2 (en) 2011-09-30 2019-03-15 Cathetering device and system including catheterizing device
JP2021185248A Pending JP2022010276A (en) 2011-09-30 2021-11-12 Heat exchanger and heat exchange system

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JP2019049184A Active JP6979045B2 (en) 2011-09-30 2019-03-15 Cathetering device and system including catheterizing device
JP2021185248A Pending JP2022010276A (en) 2011-09-30 2021-11-12 Heat exchanger and heat exchange system

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US (3) US9492633B2 (en)
EP (2) EP3195835B1 (en)
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WO (1) WO2013049672A1 (en)

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